BACKGROUND TB-Regional Eastern European and Central Asian Project on Strengthening Health Systems for Effective Tuberculosis (TB) and drug resistant TB prevention and care (TB-REP) is a three-year project starting 2016, funded by the Global Fund to Fight AIDS, Tuberculosis and Malaria, implemented by the Center for Health Policies and Studies (PAS Center), as the principal recipient, and the WHO Regional Office for Europe, as the technical lead agency, in collaboration
Strengthening health systems for effective tuberculosis prevention and care
with partners. The project focuses on accelerating TB prevention and care by removing health system barriers and scaling up health system reforms through catalyzing and supporting interventions in 11 eastern European and central Asian countries.
TB-REP: a regional project spanning eleven Eastern European and Central Asian countries
TB-REP partners Alliance for Public Health www.aph.org.ua The Center for Health Policies and Studies (PAS Center) www.pas.md
BELARUS
The Global Fund to fight Aids, Tuberculosis and Malaria (GF) www.theglobalfund.org The European Respiratory Society (ERS) www.ersnet.org The London School of Economics and Political Science (LSE) www.lse.ac.uk
UKRAINE KAZAKHSTAN
MOLDOVA
ARMENIA
The London School of Hygiene and Tropical Medicine (LSHTM) www.lshtm.ac.uk The Stop TB Partnership (STB) www.stoptb.org TB Europe Coalition (TBEC) www.tbcoalition.eu WHO Regional Office for Europe www.euro.who.int
WHO Regional Office for Europe UN City, Marmorvej 51, DK-2100 Copenhagen Ø, Denmark, Email: eurotbrep@who.int
www.euro.who.int/en/health-topics/Health-systems www.euro.who.int/tuberculosis
UZBEKISTAN
GEORGIA
KYRGYZSTAN
AZERBAIJAN TURKMENISTAN
TAJIKISTAN
GOAL
INTERVENTIONS
To improve TB and drug resistant TB outcomes in TB-REP countries through health systems strengthening, leading to people-centred prevention, treatment and care.
Document countries’ experience and partners’ lessons learnt
Develop a blueprint for a TB model of care 1
OBJECTIVES $ To increase political commitment to end TB, through regional cooperation and evidence sharing, for effective and sustainable transformation of health systems
Conduct high level and bottom-up regional and national advocacy
To support countries to implement effective and efficient TB service delivery systems shifting towards outpatient models of care with sustainable financing and well-aligned payment mechanisms Support implementation of a people-centred TB model of care through country roadmaps
EXPECTED RESULTS
Countries adopt key policies on people-centred TB service delivery, TB care financing and TB human resources
Rational use of hospital care based on clearly defined and adopted admission and discharge criteria
Countries have roadmaps to incorporate peoplecentred policies for sustainable and effective TB prevention and care
Carry out capacity building and regional dialogue for learning events
1
Blueprint is a document which sets forth the guiding principles of designing and implementing people-centred care for TB.